9th - Harm Reduction Coalition

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9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE 2011 when the abstract was written). What’s the status of syringe exchange law in CA Who can and can’t be prosecuted for syringe possession and distribution How do we get programs legalized where they are needed What is the practical effect in the lives of drug users What is the plan to push the policies to be more fair, just and understandable Glenn Backes has worked and volunteered in HIV prevention since 1987, and harm reduction since 1990. He’s been an outreach worker to homeless youth in New York City, an HIV prevention educator in California high schools and juvenile jails, a needle exchange volunteer in Brooklyn. Glenn directed the International Harm Reduction Development Program at the Soros Foundation, developing HIV control and drug treatment programs in the former Soviet Union. In 2001, Glenn moved to Sacramento to direct the California Capital Office of Drug Policy Alliance. In his five years there he worked in collaboration with associations of physicians, health officers, pharmacists, drug treatment associations and advocacy groups to pass legislation to prevent the spread of hepatitis and HIV in communities and prisons, to combat addiction, to prevent drug use among young people, and to end the over-reliance on incarceration as the main government response to addiction and drug use. Glenn now free-lances as a public policy consultant and researcher. Bailey, Chantelle, Boyle Street Community Services, Edmonton, Alberta, Canada cbailey@boylestreet.org The Mobile Outreach Addictions Team People living in the inner city who hope to access addiction services face many barriers. Accessing traditional addictions services can be both confusing and overwhelming, and without the assistance of a professional “middle man”, it can seem virtually impossible. The presenters will describe the Mobile Outreach Addictions Team (M.O.A.T) in Edmonton, Alberta, as a team that delivers hybrid services consisting of traditional addictions services, outreach, and a strong Harm Reduction stance in practice and philosophy, as opposed to abstinence-only options. The team works on a spectrum from relationship building and support, to facilitating formal addictions services, to providing aftercare and assistance with relapse prevention, to maintaining relationships with people who return to their drug use. Essentially, M.O.A.T can be considered the supportive “middle man” between traditional services and no services at all. The presenters will discuss strategies, staffing, statistics, lessons learned, partnerships and how networking plays an important role in service delivery. The presenters will also share stories of people the team has worked with to illustrate the broad spectrum of addiction services that can and should be provided, and how having a “middle man” helps people get to where they want to be. Chantelle Bailey attended the University of Lethbridge where she earned a BHSc with a major in Addictions Counselling. Throughout her schooling, internships and work experience, Chantelle has learned the importance of Harm Reduction and the privilege of working with people who face many barriers. Since graduating, Chantelle has moved from Lethbridge to Edmonton, where she is now the Team Leader for the Mobile Outreach Addictions Team (M.O.A.T) with Boyle Street Community Services. Baker, Roxanne NAMA-Recovery, Santa Cruz, CA prezrokki@comcast.net “Words Are Things in the MAT Community” Learn what feeds stigma in the methadone community. Learn how to educate others just by telling them the difference between a “Patient and a Client” Recovery is a real thing and can be had on MAT. Rokki has been involved in Harm Reduction and Methadone Advocacy for 20 years. She is the latest recipient of the AATOD’s “Richard Lane/Robert Holden” Award for her work in Methadone Advocacy. She has worked in the trenches with NEP for 10 years helping to educate about Harm Reduction and is lovingly called by her peers “The Language Police”. One of her mantras is “Knowledge is Power” 6
9th National Harm Reduction Conference FROM PUBLIC HEALTH TO SOCIAL JUSTICE Bannerman, Molly, South Riverdale Community Health Centre, Toronto, Ontario mbannerman@srchc.com Community Based Participatory Research: Drug Users Dominant knowledge about drug use is frequently rooted in “expert” research conducted by doctors, psychiatrists, social workers, policy-makers, criminologists and/or social justice advocates, and devalues knowledge that comes from lived experience with drug use. This workshop will focus on Community Based Participatory Research (CBPR) as an approach confronting traditional knowledge hierarchies, and placing drug users’ experiences at the forefront of knowledge generation and policy-change efforts. We will draw on three examples of CBPR which demonstrate the value of blending community and “expert” knowledge in order to understand the rich and diverse nature of drug use in different contexts. The topics of these projects include: methadone patients’ experiences with doctors, pharmacists and the criminal justice system with the aim of enhancing well-being and equity for people taking methadone; drug using women’s experiences with police and the importance of including women’s voices in discussions of community safety; and the deconstruction of government drug use surveillance trends through a gender-based lens. We will also discuss strategies for overcoming challenges in academic collaborations, benefits of using CBPR as a tool for building community power, and ways of moving drug users’ knowledge from the margins to the center to challenge oppression and create change. Gender & Drug Use: A Harm Reduction Evaluation Gender is largely ignored in drug use research. In Toronto, Canada, most harm reduction programs see an average of 60 – 80% men, and research seems to focus on questions which highlight drug-using trends amongst men. However, in order to understand drug use patterns and create effective harm reduction practices, it is critical to evaluate drug use through a gender-based lens. The Gender and Drug Use Study, a partnership between the University of Toronto and South Riverdale Community Health Centre, explores gendered practices in drug use trends and the use of drug combinations including prescribed and non-prescribed drugs. Our preliminary, informal research reflects substantial difference between men and women’s drug using patterns. This more formal study explores these differences, drawing on drug use surveillance data and other “expert” research on drug use trends. The study merges a quantitative model with a community based action approach. This presentation will highlight the work of eight drug users who completed a detailed training, reviewed and modified established research tools, and conducted 100 interviews with drug users at our center. Findings will be used to examine the existing ways that harm reduction and drug policy can create gender informed approaches to harm reduction. Molly Bannerman has worked in the harm reduction and social justice field for more than 10 years, with a focus on drug using women, the criminal justice system, and social change. Initially working in the field of restorative and transformative justice, Molly worked in the federal women’s prison system and in court referred victim offender mediation. More recently, Molly has been working from a health promotion perspective to support drug using women in advocating for social change. Barrett, Fay, William F. Ryan Community Health Center, NY, NY Fay.Barrett@ryancenter.org Everyone is Connected The Ryan Community Health Network’s, the Harm Reduction Program model is open, flexible, and representative of the populations we serve; using Peer Educators to facilitate connections to the community. Staff are hired from a pool of consumers, and many stay with the Center for many years, helping to maintain clients in care. The multi-faceted Program includes a testing van that visits sites in the community, offering rapid HIV, Hepatitis tests and individual counseling, with collaboration of community and faith-based partners. The staff ensures a connection to medical care for anyone testing positive. Every Ryan Adult medical practitioners treats HIV positive patients, and achieved the designation of HIV specialist allowing for discreet and confidential treatment of HIV. Dental, supportive services, specialties, women’s health and mental health are available all under one roof as well. The Harm Reduction program provides seamless individual and group counseling that is patient-centered, with techniques including motivational interviewing and other evidence-based interventions. 7
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